The patient's signature on an informed consent form indicates
A) understanding of the treatment options.
B) expressed consent.
C) understanding of the limits or risks in the pending treatment.
D) all of the above.
Answer: D
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One of the most important public health measures in the United States remains:
A) the eradication of varicella B) childhood immunization C) geriatric immunization D) public education about vaccines
Thomas is a 58-year-old male with ASHD, DM type 2, HTN, and GERD who presents with c/o rectal bleeding. He states, "There was blood in the toilet after I had a bowel movement." He admits he was straining a lot to pass the stool
PMH: As noted, the patient has ASHD, DM type 2, which is well controlled with metformin and Byetta, HTN—controlled by Norvasc. He also takes omeprazole, Simvistatin, and Neurontin for diabetic neuropathy. He reports the ASHD is "stable at this time, according to my cardiologist." Temp: 99 Pulse: 76 BP: 130/74 Blood sugar: 110 Physical Exam: ENT—PERRLA, no PND Neck: WNL—no lymphadenopathy Cardiovascular—RRR, no JVD, no carotid bruits Lungs—normal breath sounds; no rales or crackles Abdomen —normal bowel sounds Digital Rectal Exam—stool on glove was brown. No evidence of blood. Hemorrhoids were noted. Fecal occult blood test was negative. EKG—WNL CBC—both H&H are within normal limits I discussed my findings with the patient. Since the fecal occult blood test was negative, and the EKG and H&H are normal, I do not think he is bleeding internally. He has both internal and external hemorrhoids. What I believe happened is that one of the hemorrhoids "popped" as he was straining to defecate. I am discharging him home with instructions to return to the ED should he experience any additional rectal bleeding, or if he notes any blood in his stool. Otherwise, I would like him to follow up with Dr. Jason Kittridge at our GI clinic within the next week. Impression: ASHD, Hemorrhoids, DM with neuropathy, GERD What will be an ideal response?
Splinters can generally be removed with _____ and splinter forceps
A) an alcohol swab B) tweezers C) a tongue depressor D) a sterile needle
For the following questions, use the ICM code book to select the correct procedural code
Adrenalectomy, unilateral